Re: [Sepsis Groups] use of vasopressors

Adrian Verdin Z . Wed, 21 Nov 2012 07:00:51 -0800

Yes those are part of the 4 principal goals in surviving sepsis campain. We Also use the arterial line waves forms ior the plestitmographic waves for fluid Administracion or to use pressors

Dr. Adrián Verdín Z.

Terapia intensiva

Anestesia

614 159 3883 cell

614 1800 800 ext 16574

El 20/11/2012, a las 10:47, "Mary Draper" <[email protected]> escribió:

Our facility continues to bolus an additional 3-5 liters if the lactate comes back ≥ 4. If after that and we have a CVP that is still < 8, we would continue to bolus.
Thanks.

Mary Draper RN BSN CCRN
Quality Manager-Best Practice Support
Quality Management Supervisor
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]
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From: [email protected] [mailto:[email protected]] On Behalf Of Hefton, Suzanne
Sent: Monday, November 19, 2012 5:55 PM
To: [email protected]
Subject: [Sepsis Groups] use of vasopressors

New to the list serve so I apologize if this has been asked previously….Currently, we report Fluid Bolus of 20ml/kg, CVP for lactate > 4 or inability to maintain MAP and initiation of vasopressors if MAP < 65 as separate measures. Some of our ED physicians have questioned if we should wait to start pressors until we have gotten to a CVP of 8.
Example: pt has a MAP of 60 and a CVP of 4 after the fluid bolus –we look for the physician to start pressors.
I’m wondering what other facilities are doing?
Thanks!

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Re: [Sepsis Groups] use of vasopressors

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